Doctor Name: | BRIAN BUDACH |
NPI Number: | 1780903583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, ATC, CSCS |
License Number: | |
Business Practice Address: | 605 E J St Suite 400 Forest City, IA - 504361664 |
Business Phone Number: | 6415857550 |
Business Fax Number: | 6415851551 |
Mailing Address: | 205 W Wacker Dr, Suite 1020 CHICAGO |
State: | IL |
Postal Code: | 606061216 |
Phone Number: | 3126400329 |
Fax Number: | 3126400407 |
NPI Enumeration Date: | 05/19/2010 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |